HomeMy WebLinkAbout1387 GALWAY LN - Building Permits •
CITY OF COSTA MESA
,y' '�. BUILDING DIVISION
1-' ""^� ' DEVELOPMENT SERVICES DEPARTMENT. PERMIT NUMBER
. PERMIT
44 ,aro' B00-00682
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 1387 GALWAY LN Status: ISSUED
Suite: Applied: 05/15/2000
Vicinity: HOUSE&ATTACHED GARAGE Issued: 05/15/2000
Parcel Number: 14116217 Zoning: R1 R1
Applicant: HARKNESS, TODD ISSUED BY:
Address: 1387 GALWAY
Phone: (714)540-2280
COSTA MESA,CA Zip: 92626
Owner: HARKNESS, TODD
Address 1387 GALWAY
Phone: (714)540-2280
COSTA MESA,CA Zip: 92626
Contractor OWNER-BUILDER
Address:
Phone:
Zip: License: 0
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF EXISTING SINGLE FAMILY RESIDENCE&ATTACHED GARAGE(34 SQ).TEAR OFF EXISTING ROOFING,
INSTALL 2"RIGID INSULATION,RESHEATH PORTION OF ROOF WITH 7/16"OSB, INSTALL 2 LAYERS OF 30#FELT
UNDERLAYMENT,&REROOF WITH"CLAYMAX TILE"(5.95 LBS)-ICBO#ER3523.
• FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $8,000.00
Permit: $153.25 Claim Valuation: $8,000.00
SMIP Res: $0.80 •
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $154.05
PLANNING &ZONING •
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
NOTES: •
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No.92-28,§1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not-commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carder and policy number are:
Carrier: Policy Number:
(This section need not be completed if the permit is valued at one hundred dollars($100)or less.)
❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisions.
Applicant Signature: Date:
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST.AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lic.# Class#
Contractor's Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjectssu the applicant to a civil penalty of not more than five hundred dollars($500).):
`M I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
���"""���•••7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. usi ss and Professions Code for this reason: /
Signator . - _ Date: S %• -
Owner ID verified by driver's license. ❑Yes 0 No Driver's License No. !� Expires: 02
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding.falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,ora volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑yes ❑No
(Section 25534 of the Califomia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application appermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes LJ No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
facility
beostcted under
uo__ . _—....._ _.__..... ..._._.. ._-..-
6 Will any part of the facility to be constructed this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes ❑No
B Of ryes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF E -V:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and cityordinances:lacing to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
abov:-described property for inspection _; . .gree n• " •occupy or allow occupancy of any building authorized by this perm' til final.
Signature Of Legal•wner(s) Date
And/Or Authorized Applicant Date
CODE# INSPECTION TYPE OATE INTTALS CODES INSPECTION TYPE DATE IN1IALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 298 Final Plumbing
200 Final Re-Roof 4.•Tee 60 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
2446-46
eery oe eddet eeeet plDSL
OWNER-BUILDER
VERIFICATION
A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and,
as a condition precedent to issuing a building permit, require the completion and require the return of, an
owner-builder verification.
Attention Property Owner:
An `owner-builder' building permit has been applied for in your name and bearing your signature.
Please complete and return this information in the envelope provided at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1. I personally 41an to provide e major labor and materials for construction of the proposed
prope im• ovement. Yes ❑ No
2. ave -.ve not) • signed an application for a building permit for
e p 'posed work.
3. have contracted with the following person(firm)to provide the proposed construction:
Name
Address City
Phone( ) Contractor's Lic. No.
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise and provide the major work:
Name
Address City
Phone( ) Contractor's Lic. No.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide the work indicated:
Name Address Phone Type of Work
1042-46 (REV.9/98)
w.
ao ICBG Evaluation Service, Inc.
IES
%t. 5360 WORKMAN MILL ROAD • WHITTIER, CALIFORNIA 90601-2299
• ••• • n Asubsidiary corporation of the International Conference of Building Officials
EVALUATION REPORT ER-3523
Copyright C 1999 ICOO Evaluation Service,Inc. Reissued September 1, 1999
Filing Category: ROOF COVERING AND ROOF DECK CONSTRUCTION-Roof Covering (202)
ONE-PIECE"S," TAPERED TWO-PIECE MISSION, FLAT 2.2.3 Flat Shingle Tile:
SHINGLE,®OMANO PANS, CLAYLITE®AND The finished tiles are 18 inches (457 mm) long, 93/4 inches
CLAYMAX CLAY ROOFING TILES
(248 mm)wide and 9/16 inch(14.3 mm)thick.There are three
UNITED STATES TILE CO. ribs that are 1/2 inch (12.7 mm) wide and one rib at the lock
909 WEST RAILROAD STREET is 1 inch(25.4 mm)wide.Ribs are approximately 3 inches(76
CORONA, CALIFORNIA 91720-1906 mm)apart and run the full 18-inch(457 mm)length of the tile.
1.0 SUBJECT Each tile has two nail holes in the top. Installed weight of the
One-piece"S,"Tapered Two-piece Mission,Flat Shingle,Ro- tiles is approximately 91/2 psf (46.4 kg/m2). They are de-
signed for installation with 9-inch (229 mm) center-to-center
manoTm Pans, Claylite®and Claymax®Clay Roofing Tiles.
spacing and a minimum 3-inch(76 mm)head lap.See Figure
2.0 DESCRIPTION 1 for further details.
2.1 General: 2.2.4 Romano Pans: The finished tiles are 18 inches (457
The roofing tiles are a vitrified clay product, manufactured mm) long, 11 inches (279 mm) wide, and 9/16 inch (14 mm)
by United States Tile Company for use as a roof-covering thick with two nail holes near the top of the pan.The installed
under the 1997 Uniform Building Code"". The tiles are weight of the tiles is approximately 9.9 pounds per square foot
machine formed, fired to various degrees and have a selec- (48.3 kg/m2).They are designed for installation with Tapered
tion of burned-on colors. The various colors are obtained Mission tops as cover tiles with a 13-inch(330 mm)center-to-
by controlled firing of the kilns. Tile profiles are illustrated in center spacing and a minimum 3-inch (76 mm) headlap.
Figure 1. 2.2.5 Claylite Tile:
The tiles may be installed on roof surfaces having slopes up The tiles are the same shape and size as"S"-shaped tile.The
to a maximum of 21:12. A solid sheathing conforming to the finished tiles are 18 inches (457 mm) long, 13 inches (330
requirements of the code is required for all slopes. mm)wide and 1/2 inch (12.7 mm)thick with two nail holes in
Flashing complying with Section 1508 of the Uniform Build- the pan side and one nail hole in the cover side.The installed
ing Code is provided at all roof valleys.Flashing and counter- weight of tiles is approximately 5.9 pounds per square foot
flashing of not less than No.26 gage corrosion-resistant met- (28.8 kg/m2). They are designed for installation with an
al must be provided at all points where the roof intersects 11-inch (279 mm) center-to-center spacing and a minimum
vertical walls. Mortar, where called for, must comply with 3-inch (76 mm) headlap.
Chapter 21 of the code for a Type 0 mortar.Tiles in contact
2.2.6 ClayMax Tile:
with mortar must be immersed in water for at least two min-
utes before installation. The finished tiles are 18 inches(457 mm)long,13 inches(330
2.2 Materials: mm) wide and 13/32 inch (10.3 mm) thick with two nail holes
in the top. The installed weight of the tiles is approximately
2.2.1 "S"-shaped Tile: 5.8 pounds per square foot(28.3 kg/m2).They are designed
The finished tiles are 18 inches(457 mm)long,13 inches(330 for installation with an 11-inch (279 mm) center-to-center
mm)wide and 1/2 inch (12.7 mm) thick with two nail holes in spacing and a minimum 3-inch (76 mm) head lap.
the pan side and one nail hole in the cover side.The installed 2.3 Installation:
weight of the tiles is approximately 8 pounds per square foot
(39.1 kg/m2) and is designed for installation with an 11-inch 2.3.1 General: Tiles shall be installed in accordance with
Table 15-D-1 of the code. Approved
(279 mm)center-to-center spacing and a minimum 3-inch(76 tile ties may be used as
mm) head lap. an alternative to nailing. On roof slopes less than 3:12, the
tiles may be used only as a decorative material over other
2.2.2 Tapered Two-Piece Mission Tile: types of approved roof coverings,as specified in the code and
The finished tiles are 18 inches (457 mm) long, curved to at the discretion of the building official. Maximum roof slope
approximately one third of a circle, having a chord width of is 21:12.
81/2 inches(216 mm)at the butt end and 7 inches (178 mm) Clay or metal birdstops or a nominal 1-by-2 wood strip shall
at the smaller end. The tiles have an average thickness of be installed at the eave to elevate the first course of tiles.Tiles
1/2 inch (12.7 mm) and an installed weight of approximately are nailed along gable rakes to continuous nominal 2-by-2
9.6 pounds per square foot(46.9 kg/m2).They are designed and nominal 2-by-3 natters,installed side by side.As an alter-
for installation with 11-inch (279 mm) center-to-center spac- native,a nominal 2-by-4 nailer,laid flat,may be installed along
ing and a minimum 3-inch (76 mm) head lap. the gable rake.See Figures 2 through 6 for additional details.
Evaluation reports of 1030 Evaluation Service,Inc.,are issued solely to provide information to ClassA members of ICBO,utilizing the code upon which the report
is based.Evaluation reports are not to be construed as representing aesthetics or any other attributes not specifically addressed nor as an endorsement or recommen-
dation for use of the subject report.
This report is based upon independent tests or other technical data submitted by the applicant.The ICBG Evaluation Service,Inc.,technical staff has reviewed the
test results and/or other data,but does not possess test facilities to make an independent vent cation.There is no warranty by ICBG Evaluation Service,Inc.,express
or implied,as to any"Finding"or other matter in the report or as to any product covered by the report.This disclaimer includes,but is not limited to,merchantability.
Page 1 of 8
'Page 2 of 8 ' ER-3523
2.3.2 Flat Shingle Tile: Installation details are similar to cement or adhesive,a No. 11 gage corrosion-resistant nail or
those described in Section 2.3.1 of this report except as fol- an existing wire tie fastener.
lows: 2.3.7 Roofing Classification: When installed over new
1. A full bed of mortar is provided under the exposed portion construction as described in this report,the clay roof tiles are
of each rake tile as a closure. Class A roof coverings in accordance with Section 1504.1 of
2. At hips and ridges, a mission type or a"V"type hip and the code and are noncombustible roof coverings in actor-
ridge tile is set and nailed in cement mortar or roofers'ce- dance with Section 1504.2 of the code.
ment. 2.4 Identification:
2.3.3 ClayMax Tile: Installation details are similar to those The letters"U.S.T."are embossed on the bottom of each tile
described in Section 2.3.1 of this report except as follows: near the nail hole on the cover side.Additionally,the tiles are
1. Hips and ridges areprovided with continuous nominal identified by means of a tag attached to each shipping pallet
P 9 bearing the evaluation report number (ICBG ES ER-3523)
2-by-3 nailers to support ClayMax trim tiles. and the installed weight.
2. Mortar or weatherblocks are not required at hips and 3.0 EVIDENCE SUBMITTED
ridges.
Reports of tests conducted in accordance with the ICBG ES
2.3.4 Romano Pans: Installation details are similar to those Acceptance Criteria for Special Roofing Systems (AC07),
described in Section 2.3.1 of this report except that Romano dated April 1999, and installation instructions.
Pans are installed at a maximum 13-inch(330 mm)center-to-
center side spacing across the roof slope. 4.0 FINDINGS
2.3.5 All Tiles: All roofing felt underlayments at hips, ridges That the One-piece"S,"Tapered Two-piece Mission,Flat
roof-
and rakes are to extend over or under the nailers provided. ingShingle, Romano Pans, Claylite and ClayMax clay Approved tile ties may be used as an alternate to nailing. subject tcs comply following with tge ondi1997 i Uniform Building Code'",
to the conditions:
2.3.6 Tile Repair: Damaged tile is removed by breaking it 4.1 The tiles are manufactured and Installed in accor-
completely out of the field and cleaning away all debris.Exist- dance with this report and the manufacturer's fin-
ing fasteners must be removed and the nail hole sealed with structions.
an approved sealant. Any damage to existing underlayment 4.2 The tiles are manufactured at the United States Tile
must be repaired prior to installation of the replacement tile. Company plant in Corona, California.
Replacement tile is inserted into the open space, maintaining
head and side laps.The tile is secured with approved plastic This report is subject to re-examination in two years.
/UWNtK ZORGER, John R. UAIt 10-7_Th
acvJOB ADDRESS 1387 Galway Lane BUILDING PERMIT NO. 42798
V.JGENERAL CONTRACTOR Walter W. Sant Const. DESCRIPTION of WORK Add Fam.Rm.& Entry.
) AP No. 141-162-17 LOT TRACT FIRE ZONE VALUE $18.500.00
I :CTIONS Siature Date TYPE V GROUP 1 ZONE R-1
em
s _ 4-na to-Ii- PE$MITS ISSUED
4 GAS ' SUBCONTRACTOR Data Number umber I
Signature
C.:WATER ] rPlumbin/wpyr� ��• �t TT�� _
ROUGH PLUMBING IL-0 (O U•�• ,({,c,n,� l b• !-/L 7oa•S(o�'
PROP: SWR. LINE HOUSE CON.
•
SPRINKLING SYSTEM
MISCELLANEOUS _ (��
ROUGH HEATING AND AIR CONDITIONING' 1`, I4-7Jj4 .
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER ❑
ROUGH WIRING nb 41-Z C- HeatI'na and Y.L.aat. A
TRENCHES [j FORMS Li STEEL REINF. � ..t j Li. W. axaP• IO-7.7� Ia0orD.—�
FLOOR SYSTEM /V -,J•74
BOND BEAM n 'STEEL REINFORCE [7 p�1
SHEATHING 4 //- '�Q
/' &
FRAME AND FLASHING Q `�•
LATHING - IN OUT DEL -Fj
/ ,-7
PLASTER. BROWN AT W .j/C. 9
S'-'ICTURAL, FINAL ----laC rl
NG. VENT., REFRIG. AND A.C., FINAL (Lo 1.43 4).W .'Arw, • !D•7-To Hr as l i
PLuMBING, FINAL AND GAS TEST R
ELECTRIC. FINAL Ole° I2•4 .
BUILDING. FINAL C— aG-9 .
1
Fat, 001* arra* 7.2
r -. 42798 T —1-7,;r."- n 3
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely - Use Ink Only
0 RECEyy//EQ{sBY DDATE RECEI�/JE/f] DA IS
ADBUILDING DRESS ✓cl '�/' s •C./l�l'• 7/7�/� ///) D 'i .
I
OWNER - •, A.P. NO / �/ • •
. al BUILDING '
MAILCom._-__
ADDRESS ADDRESS / �� / p
/��ZLaJ TE-� �� TEL
CITY (/ -M9 TRACT 23.4. LOT 9 /LOCK
CONSTRUCTION n _ 2 Q NEW ADD ALTER REPAIR MOVING DEMOLISH
LENDER l' /�/7�(-.�{//JiL//�J�I� k
BRANCH iea '7r--.�-i / LSO,
OWNER ;lee . _ .„-
i - .-
ADDRESS ,t
ARCHITECT TEL. USF!/ �, I�VALUE/8"5 A�
OR ENGINEER NO o �(/�
FIRE
ADDRESS ZONE /PE GROUP n/
CONTRACTOR PS*Jz/ S_v // _"' ., BCP ROVE DATE/0.-
�
[`G
ADDRESS pn day
aegs
TELZags NODE USE OF NEW
CITY 01.441�• NO..'t' • / PLANS- BUILDINGLa�`�1 (.1• A.
f" STATE CITY YARDS APPROVED YARDS APPROVED
LIC.NO. 3,r)1 As-c; `L LIC.NO. MAIN BUILDING ACCESSORY BUILDING
A. SIZE I NO.OFBLOCS.
(FROM C.. �' /'^ /tarry
6 OF LOT NOW ON LOT FRONT �T/ FT ItJYS.4
USE OF
ca EXISTING BLDG. 9 SIDE T. Fi.
FSeparate permits are required for L.SIDE / FT.
Cc electric,plumbing and heating work. REAR F FT.
US F BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
,�. qq at
Q /� MAIN BLOCS.
�' "�y/�� ���y�pACCESS.BLOODS. / / _
a (OVs•Ltri 4Ii'I1 �I_� _ . • ad CORP. /Zqq--//-"1'�//J��W •F ROVEDO -7 -7/T
rl `5.4 : �BYROVEDLC(I J� DATE JO- /-7 '
Ltd I
0 I hereby acknowledge that I have read this application and state N
n
I4 that the above Information is correct and agree to comply with m
A. all laws regulating building construction, end I shall not employ i
Z any person In violation of the workman's compensation laws of e
ILI the State of California. CJ,�O '
3 I hereby certify that I am properly licensed as a contractor under `' " ✓ SCE FT. a
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR o
Chapter 9, and that such licenses aro in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: -
am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $ n
and Professions Code, Division 3,geaepeter 9. r /, �a
� � PLAN CHECK $ Afe
Signature of td /1. z) �I ✓'1 • a� O
Permittee ��'jC v $/ ' /�� TAX $ g
dSolas, 2 .
Authorized Agent TOTAL PAID $
'j OWNER College Mesa Co. DATE 8-19-55
`i JOB ADDRESS 1387 Ga]w•y Lane BUILDING PERMIT NO. 1f68
GENERAL CONTRACTOR The Hale Get_ VALUE $ 8,000_00
1 9 BLOCK TRACT jn Rps1dpnre Lo
GROUP I TYPE V ZONE Rio FIRE DISTRICT #1685
iPERMITS ISSUED
INSPECTIONS /DATE SUBCONTRACTOR DATE NUMBER
��� 7
Footing Trench ) - A'S' /
'Foundation Forms and Grade to Garage 7b/Jr' c4-�11
Rough Framing bfrE /p SS" 11177T' -
Plumbing,Rough to Slab^ '`9� ,K , // / /
li
Plumbing,Rough Complete ��+i 74, 1 -- Air . J ..4..L . 9-(-- r r .- '
Temporary Pole .�Q�Q, U
' Wiring, Rough d/`�+ 0-1,1:I iti5 0_,,,,,, ; g-e-c- /0_ 7-,S'S /,cS [,
Heating,Rough '
Heating, Final / _ /6 - 7-5-s ,/y pe cc 4 --.
L /q �y
/Sewer, House Sewer,St. . G //—aa—S750
S— . 4.---
Septic Tank or Cesspool y
Lv"ning, InX /1-1 'i'OutX V E AD".tS""'._
I wring! fi,/ -' ,{
Plumbing,Final,Fixtures Cop plet� .. - $'...
Plumbing,Final Gas Test LG`�j1'n., - r, A'S' an ,h
Wiring,Final S �.tyct a ,2 - , -....-
0
AA.
Occupancy /LG`'S 5 -
1 e,-n-0111.fii4_19M_I_SS
Costa Mesa Building Department, �, APPLICATION FOR PERMIT
r 111 EAST 20th STREET - 85 BUILDING 1
^' COSTA MESA, CALIFORNIA t'�
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN Receipt No. Permit No.
Building - - -
Address 1387 Galway Lane /( p
o 6
Costa Mesa, California Received by Date Reed. Date Issued
--/fSS
Nearest O /��
Cross st. Col.le•e Street Building / .3 0 7 /i✓ der--`.. 624--7(---(--
Owner College Mesa Company Costa Mesa, California ll
Mail
Address 8002 Central A enue Nearest
Tel. Cross St.
City Garden Grove No, LE 9-2158 Zone / N el Typey/- Group ..z-
Architect
Architect or - Lio. �y- Plans Y�
Engineer Davis & Quigley No. C-1790 Approved•
by Date
Address43 Malaga Cove Plaza, Palos Verde;
City Lic. CORRECTIONS
.ntractor The Hale Company No. 3422
Address 8002 Central Avenue,Garden Grovr\
LegDe cription I No. 9 I Block I Tract 2341
(Attach Metes and Bounds) _ ,,ww
No.of Bldgs. a1
Size of Lot 6694 sq. ft. I Now on Lot ®.'
Use of I No.of I No.of b
9
Existing Bldg .Families Rooms - 5
Setback Line from Rear Yard 32'
Center of Street 50' Side Yard 7i AUG 10 1955
DESCRIPTION OF WORK r
New Ix I Alteration I I Addition I CITY OF COSTA MESA
Repair I I Moving I I Demolish I
Building No.of
Size 1181 Rooms 5 Stories 1
I `erior Wall I Roof
tering Stucco Covering Rock APPROVALS
Use of New
Building Single family dwelling with Foundation Location Inspector Date
Forms,Materials,
attached garage. Under-Pinning
Frame: Fire Stops,
Bracing,Bolts
I hereby acknowledge that I have read this Application
and state that the above is collect and agree to comply Lath.Int
with all City Ordinances and State Laws regulating
building construction, Lath.Ext
Signature of THE COMPANY _
Permittee _�/, Plaster, Int
Authorized ] �r/i ��re �:./Plaster,Ext.
Henna M."a e -
Valuation , Permit Fee $ 'i a O Masonry Reinforced
of i 0 . Plan Check$
$ f Q`ir Total 1 Bond Beam
V , Fee 3 FINAL
FORM 204 S-BP 2M 6-55
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Street - •
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PLOT PLAN
Show location and distances from •
property line and between buildings.
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PAlu trt`s`;, 1,
712 `1i.T —7-76c—r tilt
v it "F G 315" 96. .?
2. O
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
A PLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely— Use Ink Only
RE D Y DATE RECEIVED DATE ISSUED
ADDRESS
QQ
J0111J ^R .
?0R Et PERMIT NO.
OWNER �f fir\ A.P.NO.
MAIL BUILDING �J
1317 GSL WA L-b
ADDRESS ADDRESS
TEL.
CITY NO. TRACT I LOT BLOCK
CONSTRUCTION NEW ADD ALTER REPAIR (MOVING r'1FMOLISH
LENDER ..)!`/ ,f.�,. rye
BRANCH OWNER J .12. 'L.QRiQ(its—_
' ADDRESS
ARCHITECT TEL. USE FAN '�`s1\N *freak ALU5E
—B—
OR ENGINEER NO, a
FIRE
ADDRESS / ZONE TYPE GROUP
AP
CONTRACTOR ' ' «1 54p-r--
IL) DATE
ADDRESS C1lll
TEL. ZONE INO.OF USE OF NEW
CITY NO. PLANS BUILDING
F' STATE CITY YARDS APPROVED YARDS APPROVED
LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
W SIZE NO.OF BLDGS. (FROM C/L STREET)
6, OF LOT NOW ON LOT FRONT FT. FT.
G USE OF
ch EXISTING BLDG. R.SIDE FT. FT,
fA
F Separate permits are required for L.SIDE FT. FT.
electric,plumbing and heating work.
G - REAR FT. FT.
u, USE OF BUILDING AND WORK TO BE PERFORMED -
DISTANCE BET. BET.MAIN&
MAINB
MAIN SLOGS. ACCESS.BLOCS.
J VAR.+ DATE
QC.U.P.# APPROVED
APPROVED
} _BY ATE
X
m
•
0 I hereby acknowledge that I have read this application and state n
C that the above Information Is correct and agree to comply with —
m
' all laws regulating building construction, and I shall not employ
Z any person In violation of the workman's compensation laws of 2
= the State of California. m
I hereby certify that I am properly licensed as a contractor under
SO. FT. N
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR CO I.^
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: to
`s)
am exempt from the provisions of the State of California Business
VALUATION PERMIT FEE E X jS�y(� ac m is,;;
and Professions Code,Division 3,Chapter 9.
Signature of 40011.0.. PLAN CHECK E 7 e= 2 N
Permittee S� TAX $ q . a
Authorized Agent .. TOTAL PAID $ 7 G i4 2.